Health Insurance Plans Mississippi
Mississippi, due to its beautiful magnolia trees, is nicknamed as “The Magnolia State” and is known for being the home of big names such as Elvis, Oprah, B.B. King, and Jimmy Buffett.
Mississippi is known for its amazing rolling hills and stunning forests and its River is known as the largest river systems in the world. It is among the ten states whose uninsured population has decreased the most since Obamacare took effect. Mississippi uses the federally run exchange so residents can enroll in health insurance plans through Healthcare.gov. As far as health is concerned, there is lot of work to be done in the Magnolia State, as it ranks last in the state health rankings. Residents of Mississippi need to understand that health plans financially protect them in case of a medical emergency and also provide access to tons of medical benefits that residents often ignored when they are not covered.
Top Health Insurance plan in Mississippi
- Ambetter from Magnolia Health
Ambetter Essential Care 5 (2021)
Deductible $8100/yrCoinsurance4%Insurance Type HMOHSA Eligible No
- Ambetter from Magnolia Health
Ambetter Essential Care 2 HSA (2021)
Deductible $6900/yrCoinsurance3%Insurance Type HMOHSA Eligible Yes
- Ambetter from Magnolia Health
Ambetter Essential Care 5 (2021) + Vision + Adult Dental
Deductible $8100/yrCoinsurance6%Insurance Type HMOHSA Eligible No
- Ambetter from Magnolia Health
Ambetter Essential Care 2 HSA (2021) + Vision + Adult Dental
Deductible $6900/yrCoinsurance5%Insurance Type HMOHSA Eligible Yes
- Molina Healthcare
Core Care Bronze 2
Deductible $8000/yrCoinsurance5.5%Insurance Type HMOHSA Eligible No
With the right health plan residents of the state will have access to preventive services and a primary care physician, who will keep their health in check. The health insurance marketplace of Mississippi is the federally run state exchange from where individuals and families can purchase health plans from a list of insurance carriers. The exchange offers a wide range of plans that cover different budgetary and coverage needs. The uninsured population of the state has greatly decreased since the launch of Obamacare. Residents of the state can purchase health plans either through federally facilitated exchange, private marketplace or through programs like CHIP and Medicaid.
Highlights and Updates
- Open enrollment period in Mississippi for 2020 coverage runs from November 1 to December 15, 2019.
- In Mississippi short-term health plans are available with initial plan terms of up to 364 days.
- Nearly all the residents enrolling through Mississippi exchange are entitled to receive subsidies on premium.
- In 2019 the rates of health insurance was unchanged and Ambetter was the only insurance offering plans through exchange.
- In 2019 around 88,000 people enrolled for obtaining coverage through health plans, which was nearly 6% higher than the previous year.
- In 2020 Molina insurance carrier is joining the exchange to offer plans in northern Mississippi.
- Residents with the qualifying event can enroll in plans outside the Open Enrollment Period.
- Mississippi uses the federally run exchange for individual market plans
Individuals and Family Health Plans
The rising cost of health insurance is making that task of purchasing health insurance daunting and confusing. According to Families USA, the premium rates have risen 81% in Mississippi in the last six years. The residents of this state needs to work hard as it is the least healthy state in the country as per the American Health Ranking, so they need to enroll in a health plan that best fits their budget and requirements because a large number of Mississippi adults do not have any health insurance. Health insurance plans available in Mississippi for individuals and families include:
Preferred Provider Organizations (PPOs)
PPO plans are best for the residents of Mississippi who wish to choose the healthcare provider of their choice and who wish a part of out-of-network claims to be covered by their insurance company and don’t want to obtain referrals before visiting a specialist. Beneficiaries of the plan have access to a network of healthcare providers participating in the plan. It is one of the most popular plans in the Individuals and Family segment that provides complete freedom and flexibility to the enrollees. PPO plan members are encouraged to visit the insurance company’s network of doctors because in-network healthcare services have greater benefits compared to out-of-network services. Thus, its become essential for members to check if their healthcare provider accepts their health plan or not so that they receive the highest level of coverage. The members of PPO plan need to pay an annual deductible before their insurance carrier starts providing coverage for their medical bills.
Health Maintenance Organizations (HMOs)
With HMO plans members enjoy a wide range of healthcare services through a network of healthcare providers who agree to provide services to members. The members are required to choose a primary care physician who take care of most of their needs and also provide referral if they need to visit a specialist. With the HMO plans members are likely to have coverage for a broader range of preventive healthcare services compared to any other plan. In the HMO plans members are usually charged a fixed copayment for every visit to the doctor and depending upon the plan there also may be a low deductible along with the copayments. Members have lower out-of-pocket healthcare expenses with HMO plans and they may also not require to pay a deductible amount before the start of the coverage and they may also have minimal copayments. Members of this plan should keep in mind that they will have no coverage for healthcare services received by out-of-network providers or for the services received without a proper referral from their primary care physician.
High-Deductible Health Plans with Health Savings Accounts (HDHP w/HSAs)
High-Deductible Health Plans with Health Savings Accounts is preferred by people who wish to have more control on their out-of-pocket expenses, as these plans have lower monthly premiums with higher deductibles. These plans are combined with Health Saving Accounts that allow members to set aside interest earning pretax funds or tax deductible funds, which is generally deposited in a private account. The accumulated fund can be used for the healthcare costs. This plan is best for younger and healthier people who don’t require health care except in the case of serious health emergency. The plan has lower insurance premiums and is the only way to qualify for a tax advantaged Health Savings Account. In the HDHP, deductible is the part of the claim which the members pays out-of-pocket and then the insurance company cover the other portion. This plan usually has a higher annual deductible and its minimum deductible varies by year. For 2020 it is $1400 for individuals and $2800 for families.
Flexible Spending Accounts (FSAs)
Flexible Spending Account is typically not a health plan but it is a special account in which people can save their money to pay for their certain out-of-pocket health care costs. People don’t need to pay taxes on this money and this allow them save an amount equal to the taxes they would have paid on their saved money. As per ACA provisions, people can make tax-free contributions of up to $2,500 per year to an FSA, which can be used for out-of-pocket healthcare expenses not covered by their insurance plan. Such expenses include over-the-counter preparations, devices and equipment, though people need to obtain a prescription for OTC items and need to provide itemized receipt to qualify for tax deduction. The amount from this fund can be used to pay co payments and deductibles but not the insurance premiums.
Short-Term Health Insurance in Mississippi
Short-term health insurance plans in Mississippi offer coverage for a limited period of time. This state does not have its own state laws so it follows federal law regarding short-term plans. Therefore, short-term plans in Mississippi can last up to 364 days for an initial term that can be further renewed for up to 36 months. These plans are best solution for residents who are in between coverage due to any reason, or need affordable coverage without the benefits of more comprehensive Affordable Care Act plans. Residents can purchase these plans through the private marketplace during any time of the year. The short-term plans come to rescue when individuals miss open enrollment or lost coverage through an employer sponsored health plan. However, insured of short-term plans should keep in mind that these plans do not provide benefits like qualified Obamacare plan. Moreover these plans do not guarantee renewal so if the insured develop any conditions while on a short-term plan the renewal of the plan might not be possible.
Dental Plans in Mississippi
Dental insurance in Mississippi work exactly like medical insurance where residents need to pay a monthly premium in order to receive dental benefits like regular checkups, dental cleanings, x-rays and other services essential for promoting general dental health. Some dental plans provide broader coverage and some may provide coverage for certain types of oral surgery, dental implants or orthodontia. In Mississippi dental insurance plans are also categorized as either Indemnity or managed-care plans. In indemnity plans members are offered with a broader selection of dental care providers but they need to first pay for the received dental care and insurance carrier reimburse them only after receiving the bill. It means they have ti pay upfront and then obtain reimbursement from their insurance carrier later. In Managed-care plans a network of dentists is created who agree to provide services for patients at pre-negotiated rates and generally they submit the claim to the dental insurance company on behalf of the members. The members of this dental plan have less paper work and lower out-of-pocket costs and at the same time have a broader choice of dentists.
Vision Insurance Plans in Mississippi
Vision insurance plans available in Mississippi provide coverage for eye exams, different types of eye glasses, contact lenses and specialty lenses. Some of the plans also provide discount for laser vision correction. Vision insurance plans in Mississippi is designed with the aim to promote the significance of annual eye exams that help them maintain eye health and overall wellness.
FAQ on Mississippi Health Insurance
All the residents of Mississippi as well as of all the other states are required to have adequate health insurance coverage to have essential protection in case of sudden illness or injury. Earlier people who didn’t have minimum essential coverage were imposed a penalty by the federal government but starting with the 2019 plan year, the penalty or individual mandate no longer applies in the majority of the states. Though some states have passed their mandate, but Mississippi is not one of those states. Thus, residents of this state do not have to pay the federal tax penalty for going without health insurance in 2020. However, they will still have to report their coverage status on their federal tax return.
The open enrollment for 2021 health insurance plans in Mississippi runs from November 1, 2020, to December 15, 2020. Residents of the state who are looking to enroll in a health plan or wish to make changes in their plan can apply or make changes during this open enrollment period. Once the open enrollment ends, residents will not be allowed to enroll or make changes in their health plans. Only residents with qualifying events are allowed to enroll or make changes in their plans outside the open enrollment period. Residents enrolling during this open enrollment period will have plans that will be effective from January 1, 2021.
Yes, short-term health plans are available in Mississippi and residents can enroll in short-term plans. Mississippi defaults to the federal rules for short-term health insurance plans, which means that short-term plans available in the state can have initial terms of up to 364 days, and can be availed for a total duration of up to 36 months including renewals.
There is no one-size-fits-all health plan that will prove best and affordable for everyone, as health insurance costs vary from person to person depending upon their age, income, health condition, and the area in which they live. Still, the average cost of health insurance for a 0-year old in 2020 is $500 per month, which is nearly a decrease of 3% in the rate compared to the previous year. After carefully evaluating all the health insurance plans available in Mississippi, it was discovered that in the majority of the counties, the Ambetter Balanced Care 11 was the cheapest plan to purchase in most of the counties having a monthly premium of $399 for a 40-year old. Residents looking for a cheap plan are advised to opt for the Core Care Bronze plan from Molina if it is available in their county.
The cheapest health insurance plan in each metal-tier in 2020 are: